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Professional anesthesia handbook

Professional Anesthesia Handbook

1-800-325-3671
Order Online!

www.sharn.com
1-800-325-3671 • www.sharn.com


© 2012 SHARN Inc, Professional Anesthesia Handbook


Our
goal
at
SHARN
Anesthesia Inc. today is
to make available to you a
variety of anesthesia products
that are of top quality and with
the best pricing available.

SHARN is the only national
sales organization dedicated
to products for anesthesia.
We have a full staff of Inside
Sales Representatives calling
on hospitals and surgery
centers around the country.
Because we do business
with you over the phone, we
are able to save you both
time and money. By avoiding
the expense of having a
salesman in a suit calling on
hospitals, we are able to pass
on significant savings directly
to you.

Presented by:

Professional Anesthesia Handbook
1-800-325-3671

This Professional Anesthesia
Handbook is yours to keep as
a reference book. If there are
other topics you would like to see
included, drop us an e-mail at mailbox@sharn.com. We hope you will also take a
look at the family of products SHARN Anesthesia has to offer.
We support the American Society of Anesthesia Technologists and Technicians.

Disclaimer
The material included in the handbook is from a variety of sources, as cited in the various
sections. The information is advisory only and is not to be used to establish protocols or
prescribe patient care. The information is not to be construed as official nor is it endorsed by any
of the manufacturers of any of the products mentioned.

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© 2012 SHARN Inc, Professional Anesthesia Handbook



Table of Contents
1

Airway Management

2

Anesthesia Gas Machine

3

Bariatric Patients

4

Breathing Circuits

5Capnography
6

Carbon Dioxide Absorption

7

Compressed Gas Cylinder Safety

8

Conversion Charts

9

Drugs Used in Anesthesia

10 Eye Protection for Patients
11 Gas Sampling
12 Infection Control Procedures

for Anesthesia Equipment
13 Lab Values
14 Latex Allergy
15 Moderate Sedation
16 Perfusion Monitors
17 Pipeline & Cylinder Gases
18 Pulse Oximetry
19 Surgical Instrument Care
20 Temperature Monitoring
21Vaporizers
22 Ventilator Problems & Hazards

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© 2012 SHARN Inc, Professional Anesthesia Handbook


1

Airway Management

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Management of the Difficult Airway
Practice Guidelines:
Practice guidelines are systematically developed
recommendations that assist the practitioner
and patient in making decisions about health
care. These recommendations may be adopted,
modified, or rejected according to clinical needs
and constraints. Practice guidelines are not
intended as standards or absolute requirements.
The use of practice guidelines cannot guarantee
any specific outcome. Practice guidelines are
subject to revision as warranted by the evolution
of medical knowledge, technology, and practice.
They provide basic recommendations that are
supported by analysis of the current literature
and by a synthesis of expert opinion, open forum
commentary, and clinical feasibility data.

For these guidelines a difficult airway is defined
as the clinical situation in which a conventionally
trained anesthesiologist experiences difficulty
with face mask ventilation of the upper airway,
difficulty with tracheal intubation, or both.
Recommendations:
At least one portable storage unit that contains
specialized equipment for difficult airway
management should be readily available.

Suggested Contents of the Portable Storage Unit for Difficult Airway Management

1. Rigid laryngoscope blades of alternate design and size from those routinely used; this may
include a rigid fiberoptic laryngoscope

2. Tracheal tubes of assorted sizes

3. Tracheal tube guides. Examples include (but are not limited to) semirigid stylets,
ventilating tube changer, light wands, and forceps designed to manipulate the distal
portion of the tracheal tube

4. Laryngeal mask airways of assorted sizes

5. Flexible fiberoptic intubation equipment

6. Retrograde intubation equipment

7. At least one device suitable for emergency noninvasive airway ventilation. Examples
include (but are not limited to) an esophageal tracheal Combitube (Kendall-Sheridan
Catheter Corp., Argyle, NY), a hollow jet ventilation stylet, and a transtracheal jet ventilator

8. Equipment suitable for emergency invasive airway access (e.g., cricothyrotomy)

9. An exhaled CO2 detector





The items listed in this table represent suggestions. The contents of the portable
storage unit should be
customized to meet the specific needs, preferences, and skills of the practitioner
and healthcare facility.

© 2012 SHARN Inc, Professional Anesthesia Handbook


After successfully managing a difficult airway
The anesthesiologist should inform the patient (or
responsible person) of the airway difficulty that was
encountered. The intent of this communication is to
provide the patient (or responsible person) with a
role in guiding and facilitating the delivery of future
care. The information conveyed may include (but is
not limited to) the presence of a difficult airway, the
apparent reasons for difficulty, how the intubation
was accomplished, and the implications for future
care. Notification systems, such as a written report
or letter to the patient, a written report in the medical
chart, communication with the patient’s surgeon
or primary caregiver, a notification bracelet or
equivalent identification device, or chart flags, may be
considered.
The anesthesiologist should evaluate and follow up
with the patient for potential complications of difficult
airway management. These complications include
(but are not limited to) edema, bleeding, tracheal
and esophageal perforation, pneumothorax, and
aspiration. The patient should be advised of the
potential clinical signs and symptoms associated
with life-threatening complications of difficult airway
management. These signs and symptoms include
(but are not limited to) sore throat, pain or swelling
of the face and neck, chest pain, subcutaneous
emphysema, and difficulty swallowing.
Preplanned strategies can be linked together to form
airway management algorithms.

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© 2012 SHARN Inc, Professional Anesthesia Handbook


Reusable Laryngeal Mask
Ambu AURA 40™ Reusable Laryngeal Masks

Convenient depth marks

The Ambu® Aura40™ is the world’s first reusable laryngeal mask to feature a built-in curve that carefully
replicates natural human anatomy. This curve is molded
directly into the tube so correct insertion is easy without
abrading the upper airway.

Anatomically c orrect
curve for easy insertion

Cuff and airway tube molded
as single unit for extra safety

Color-coded pilot balloon

Extra soft cuff ensures the best
possible seal with least possible
internal pressure
Reinforced tip resists
bending during insertion
so placement is alway
correct

Order #
Size
LMR-326-1001
LMR-326-1501.5
LMR-326-2002
LMR-326-2502.5
LMR-326-3003
LMR-326-4004
LMR-326-5005
LMR-326-6006
Latex Free and MRI Compatible

Ambu Aura 40™ Standard
Reusable Laryngeal Masks
Order #
LMR-340-100
LMR-340-150
LMR-340-200
LMR-340-250
LMR-340-300
LMR-340-400
LMR-340-500
LMR-340-600

Size
Size 1
Size 1.5
Size 2
Size 2.5
Size 3
Size 4
Size 5
Size 6

• Standard shape tube version
• Reusable silicone—ease of use and cleaning
• Fully Autoclavable at 135˚ C for 40 uses
• Clearly marked guidelines for easy insertion,
cuff inflation volume and patient weight on tube
• Latex Free and MRI Compatible

''Intubating'' Laryngeal Mask
The disposable Aura-i™ is latest innovation in laryngeal masks
from Ambu. The Aura-i is pre-formed to follow the anatomy of the
human airway with a soft rounded curve that ensures fast and easy
placement and guarantees long-term performance with minimal
patient trauma. The airway tube is designed to allow easy passage
of an appropriately sized ET-tube. 8 sizes. Latex free
• Built-in anatomically correct
curve for easy atraumatic insertion
• Intubating capability using
standard ET-tubes
• Convenient depth marks for
monitoring correct position
• Navigation marks for guiding
Fiber/Videoscope

Full Box of 10

Order #
LMI-329-100
LMI-329-150
LMI-329-200
LMI-329-250
LMI-329-300
LMI-329-400
LMI-329-500
LMI-329-600

Size
Size 1
Size 1.5
Size 2
Size 2.5
Size 3
Size 4
Size 5
Size 6

Price
$139.00 ea.
$139.00 ea.
$139.00 ea.
$139.00 ea.
$139.00 ea.
$139.00 ea.
$139.00 ea.
$139.00 ea.

1-800-325-3671 • www.sharn.com


Disposable Laryngeal Mask
Ambu AURA Once™ Disposable Laryngeal Masks
Cuff and airway tube moulded
as single unit with built-in,
anatomically correct curve

The airway tube is flexible at the cuff
and rigid at the connector for easy,
atraumatic insertion and removal
Practical clear “window”
to view condensation

Reinforced tip will
resist bending
during insertion
so positioning is
always correct

Smooth sides without
ridges or fins that can
scratch delicate tissue
Extra soft cuff is 0.4 mm
thin to ensure best
possible seal with least
possible intra-cuff pressure

Ultra thin pilot balloon
with universal check valve
provides precise tactile
indication of degree
of inflation

This Laryngeal Mask features a special
curve that carefully replicates natural human
anatomy. The curve is molded directly into
the tube so that insertion is easy, without
abrading the upper airway. Moreover, the
curve ensures that the patient’s head remains in a natural, supine position when the
mask is in use.

Latex Free and
MRI Compatible

Order #
SizePrice
LM321-100 1
$160.00-bx/10
LM321-1501.5 $160.00-bx/10
LM321-2002 $160.00-bx/10
LM321-2502.5 $160.00-bx/10
LM321-3003 $160.00-bx/10
LM321-4004 $160.00-bx/10
LM321-5005 $160.00-bx/10
LM321-6006 $160.00-bx/10

Aura Once™ Standard
Disposable Laryngeal Masks
Order #
LM-324-100
LM-324-150
LM-324-200
LM-324-250
LM-324-300
LM-324-400
LM-324-500
LM-324-600

SizePrice
Size 1 $160.00-bx/10
Size 1.5 $160.00-bx/10
Size 2 $160.00-bx/10
Size 2.5 $160.00-bx/10
Size 3 $160.00-bx/10
Size 4 $160.00-bx/10
Size 5 $160.00-bx/10
Size 6 $160.00-bx/10

• Standard shape tube version
• Single Use—Disposable, Sterile
• Clearly marked guidelines for easy insertion,
cuff inflation volume, and patient weight on
pilot balloon
• Latex Free and MRI Compatible

Flexible Laryngeal Mask
Ambu® AuraFlex

Ambu Auraflex is a disposable, flexible laryngeal mask
which is specially designed for ENT, ophthalmic, dental
and other head and neck surgeries.
Full Box of 10
Size$195.00/ box
2LMF-327-200
2 1/2LMF-327-250
3LMF-327-300
4LMF-327-400
5LMF-327-500
6LMF-327-600

© 2012 SHARN Inc, Professional Anesthesia Handbook

Half Box of 5
$100.00 / box
LMF-327-200H
LMF-327-250H
LMF-327-300H
LMF-327-400H
LMF-327-500H
LMF-327-600H


2

Anesthesia Gas Machine

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Anesthesia Apparatus Checkout
Recommendations, 19931
This checkout, or a reasonable equivalent,
should be conducted before administration of
anesthesia. These recommendations are only
valid for an anesthesia system that conforms
to current and relevant standards and includes
an ascending bellows ventilator and at least the
following monitors: capnograph, pulse oximeter,
oxygen analyzer, respiratory volume monitor
(spirometer) and breathing system pressure
monitor with high and low pressure alarms.
This is a guideline which users are encouraged
to modify to accommodate differences in
equipment design and variations in local clinical
practice. Such local modifications should have
appropriate peer review. Users should refer to the
operator’s manual for the manufacturer’s specific
procedures and precautions, especially the
manufacturer’s low pressure leak test (step #5).
Emergency Ventilation Equipment
*1.Verify Backup Ventilation Equipment is
Available & Functioning

a.Verify that the machine master switch and
flow control valves are OFF.
b.Attach “Suction Bulb” to common Fresh gas outlet.
c. Squeeze bulb repeatedly until fully collapsed.
d. Verify bulb stays fully collapsed for at least
10 seconds.
e.Open one vaporizer at a time and repeat ‘c’
and ‘d’ as above.
f. Remove suction bulb, and reconnect fresh
gas hose.
*6.Turn On Machine Master Switch and all
other necessary electrical equipment.
*7.Test Flowmeters
a.Adjust flow of all gases through their full
range, checking for smooth operation of
floats and undamaged flowtubes.
b.Attempt to create a hypoxic 02/N20 mixture
and verify correct changes in flow and/or alarm.
Scavenging System

*8. Adjust and Check Scavenging System
a.Ensure proper connections between the
High Pressure System
scavenging system and both APL (pop-off)
valve and ventilator relief valve.
*2.Check Oxygen Cylinder Supply
a.Open 02 cylinder and verify at least half full b.Adjust waste gas vacuum (if possible).
c. Fully open APL valve and occlude Y-piece.

(about 1000 psi).
d.With minimum 02 flow, allow scavenger
b.Close cylinder.
reservoir bag to collapse completely and
verify that absorber pressure gauge reads
*3.Check Central Pipeline Supplies
about zero.
a.Check that hoses are connected and

e.With the 02 flush activated allow the
pipeline gauges read about 50 psi.
scavenger reservoir bag to distend fully, and
then verify that absorber pressure gauge
Low Pressure Systems
reads <10 cm H20.
*4.Check Initial Status of Low Pressure System
Breathing System
a.Close flow control valves and turn
vaporizers off.
b.Check fill level and tighten vaporizers’ filler caps. *9. Calibrate 02 Monitor
a.Ensure monitor reads 21% in room air.
b.Verify low 02 alarm is enabled and functioning.
*5. Perform Leak Check of Machine Low
c. Reinstall sensor in circuit and flush
Pressure System
breathing system with 02.
d.Verify that monitor now reads greater than 90%.
© 2012 SHARN Inc, Professional Anesthesia Handbook


10. Check Initial Status of Breathing System
a.Set selector switch to “Bag” mode.
b.Check that breathing circuit is complete,
undamaged and unobstructed.
c. Verify that C02 absorbent is adequate.
d.Install breathing circuit accessory
equipment (e.g. humidifier, PEEP valve) to
be used during the case.

Monitors

11. Perform Leak Check of the Breathing System
a.Set all gas flows to zero (or minimum).
b.Close APL (pop-off) valve and occlude Y-piece.
c. Pressurize breathing system to about 30 cm
H20 with 02 flush.
d. Ensure that pressure remains fixed for at
least 10 seconds.
e.Open APL (Pop-off) valve and ensure that
pressure decreases.

Final Position

Manual and Automatic Ventilation Systems

* If an anesthesia provider uses the same
machine in successive cases, these steps need
not be repeated or may be abbreviated after the
initial checkout.

12.Test Ventilation Systems and
Unidirectional Valves
a.Place a second breathing bag on Y-piece.
b.Set appropriate ventilator parameters for
next patient.
c. Switch to automatic ventilation (Ventilator) mode.
d.Fill bellows and breathing bag with 02 flush
and then turn ventilator ON.
e.Set 02 flow to minimum, other gas flows to zero.
f. Verify that during inspiration bellows
delivers appropriate tidal volume and that
during expiration bellows fills completely.
g.Set fresh gas flow to about 5 L/min.
h. Verify that the ventilator bellows and

simulated lungs fill and empty appropriately
without sustained pressure at end expiration.
i. Check for proper action of unidirectional valves.
j. Exercise breathing circuit accessories to

ensure proper function.
k. Turn ventilator OFF and switch to manual

ventilation (Bag/APL) mode.
l. Ventilate manually and assure inflation and
deflation of artificial lungs and appropriate
feel of system resistance and compliance.
m.Remove second breathing bag from Y-piece.

13. Check, Calibrate and/or Set Alarm Limits
of all Monitors
Capnometer
Pulse Oximeter
Oxygen Analyzer
Respiratory Volume
Monitor (Spirometer)
Pressure Monitor with High and Low Airway Alarms

14. Check Final Status of Machine
a.Vaporizers off
b.AFL valve open
c. Selector switch to “Bag”
d.All flowmeters to zero
e.Patient suction level adequate
f. Breathing system ready to use

1http://www.fda.gov/cdrh/humfac/anesckot.html

1-800-325-3671 • www.sharn.com


SHARN Anesthesia selection of oxygen sensors fulfills virtually any
customer application. The standard (alkaline-based) sensors meet or
exceed OEM specifications for respiratory applications.

Anesthesia

JB-1 Replacement Sensor for Datex
Ohmeda™ 4700 Oxicap, 5250 RGM Modulus
& Excel Series, 5120 O2 Monitor, Fabius
12 month warranty.

MAX-16 Extra-life Sensor for P-B 840, 860,
740 (24 mos) and Versamed i-Vent
18 month warranty.

Long Life!

JB-8 Extra-life Replacement Sensor for Datex
Ohmeda™ Modulus & Excel Series, 5120 O2
Monitor, Fabius 24 month warranty

MAX-17 O2 Sensor for Hudson, Teledyne
T-7, TED60T, TED191, TED200T7 (phone
jack) 12 month warranty.

JB-10 Replacement Sensor for Datex™ Ohmeda Aestiva 7900 series Smartvent and
Inovent 12 month warranty


MAX-18 Replacement Sensor for Hudson
5568. 12 month warranty.



MAX-43 Replacement Sensor for GE
(Ohmeda) Giraffe. PKG of 2
12 month warranty.

Long Life!

JB-2 Extra-life Replacement Sensor for
Narkomed™ Series 24 mo warranty

Respiratory

Max-250 Series sensors use a patented
weak-acid based technology to provide
a more stable signal, longer sensor life,
and withstand high levels of CO2, CO and
other acidic gases. The Max-250 series
sensors are also known for their superior
performance in high humidity applications.

MAX-3 Replacement for Paragon Platinum
SC430 and Penlon Prima SP2.
12 month warranty

MAX-250E Sensor for MAXTEC MaxO2/
MaxO2+. 24 month warranty.

MAX-9 Extra-life Replacement Sensor for
Hudson: 5500, 5590, 5577, 6477
14 month warranty.

MAX-250ESF Replacement Sensor for
MAXTEC, most models. 24 month warranty.

JB-11 Dual cathode replacement Sensor for
Narkomed™ Series 12 month warranty




MAX-23 Replacement Sensor for CSI/Criticare
100 Series, Poet monitors. 12 month

JB-12 Replacement Sensor for Siemens 900C
and 300 series, Hamilton Galileo,
Raphael, Arabella, Datascope
14 month warranty.
MAX-13 Extra-life Sensor for MSA: MiniOx: I,
II, III, 3000; Puritan Benett 7200, 7820; Bird:
6400, 8400, Datascope Anestar 5
14 month warranty.

© 2012 SHARN Inc, Professional Anesthesia Handbook

MAX-13-250 LONG-life O2 Sensor for
MSA: MiniOxI, II, III, 3000; Puritan Benett
(Mallinckrodt) 7200, 7820; Bird: 6400, 8400
24 month warranty


3

Bariatric Patients

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Bariatric Patients
According to the 2003-2004 National Health
and Nutrition Examination Survey, an estimated
66.2% of U.S. adults age 20 and older are now
classified as “overweight or obese.” This means
there are more than 127 million overweight
adults, 66 million obese adults, and 9 million
morbidly obese adults in the U.S. Body Mass
Index is the commonly accepted formula for
determining obesity. To calculate BMI divide
weight in pounds by height in inches.






Underweight
Healthy Weight
Overweight
Obese
Morbidly obese

<20
20 – 24.9
25 - 29.9
30 – 40
40+

The Center for Disease Control and Prevention
predict that the number of obese adults will
more than double in the next five years in the
U.S. to reach an estimated 168 million. The
U.S. currently has the largest obese population
in the world although the numbers of obese are
increasing in other industrialized nations as well.
With this increase in obesity, health care
providers are more and more frequently faced
with planning care for larger, heavier patients.
This special population can predispose
caregivers to injury. Failure to provide adequate
patient activity and mobility leads to issues of
patient safety and challenges to nurses.
Obesity affects every organ of the body
and is associated with an increased risk for
many diseases, including diabetes, sleep
apnea, hypertension, coronary heart disease,
cardiomyopathy, osteoarthritis, soft tissue
infection, some cancers and impaired circulation.
Lungs and other organs do not increase in
size as the patient becomes obese. Abnormal
diaphragm position, upper airway resistance,
and increased daily CO2 production exacerbate
respiratory load and further increase the work
of breathing. This results in decreased vital
capacity and tidal volume which compromises
tissue oxygenation.

Obesity is strongly correlated with obstructive
sleep apnea syndrome, a condition characterized
by repetitive partial or complete obstruction of the
upper airway that is associated with arterial blood
oxygen desaturations and arousals from sleep. A
decreased respiratory rate and ultimately periods
of apnea occur frequently, with resultant selflimited periods of severe hypoxia.
A morbidly obese patient’s heart is frequently
stressed by the strain of supplying oxygenated
blood to all the tissues. The pathology of
cardiovascular disease related to obesity involves
an increase in both preload and afterload.
Approximately 3 ml of blood volume are needed
per 100 g of adipose tissue. As BMI increases
so does circulating blood volume. Increased
blood volume increases preload, stroke volume,
cardiac output and myocardial work. Elevated
circulating concentrations of catecholamines,
mineralocorticoids, renin and aldosterone serve
to increase afterload. Hyperkinesia, myocardial
hypertrophy, decreased compliance, diastolic
disfunction and eventually ventricular failure
ensue.
The diastolic disfunction characteristic of obesity
results in poor fluid tolerance. A pulmonary
artery catheter may be useful in obese patients
who require large volume fluid resuscitation.
Noninvasive blood pressure monitoring by cuff
sphygmomanometer is often inaccurate due
to size discrepancy. Therefore, an in-dwelling
arterial catheter should be employed when
hemodynamic stability is in question.
Obesity also makes it very difficult to move and
position a patient properly.
Patient positioning is a key component of surgical
procedures and, if not executed correctly, there
can be serious complications for the patient and
negative effects to the outcome of the surgery
can result. Proper patient positioning can reduce
the risk of unwanted conditions such as ulcers,
pressure sores, nerve damage, excess bleeding,
breathing difficulties and skin breakdown.

© 2012 SHARN Inc, Professional Anesthesia Handbook


Special equipment is necessary for the care of the
obese patient. Wheelchairs, beds, and bathroom
facilities need heavy duty equipment to accommodate
the obese patient.
Pressure-induced rhabdomyolysis is a rare but welldescribed postoperative complication that results
from prolonged, unrelieved pressure to muscle during
surgery. Major risks included prolonged operative
time and obesity. Prevention of rhabdomyolysis and
related complications includes attention to padding
and positioning on the operating table, minimization
of operative time, and maintenance of a high index
of suspicion postoperatively. Patients suspected of
having rhabdomyolisis should be monitored in the ICU.

1-800-325-3671 • www.sharn.com


Positioning Products
Order Online!

www.sharn.com

1-800-325-3671
© 2012 SHARN Inc, Professional Anesthesia Handbook


Disposable Foam Latex Free

Adult Head Cradle
PPD-40400
8”L x 9”W x 4”H
cut-out 4.375” x 4.75”

box of 16

Adult Head Cradle
PPD-30-105
8”L x 9”W x 4”H
cut-out 4.75” x 4.75”

box of 24

Multi-Ring Head Rest
PPD-30-122
9” - 7.5”-5.5” with 3” center
box of 24

Slotted Adult Positioner
PPD-30-113
8”L x 8.5”W x 4.5”H

Head Rest with ET Slit
PPD-40438
10.75”L x 9.5”W x 6”H

cut-out 6.75’’ x 5”

cut-out 6” x 3”

box of 6

box of 24

Headrest-ET slit & memory foam
PPD-30-106-RL-H
11”L x 9”W x 6”H

Headrest-ET slit
PPD-30-117-H
10.5”L x 9.5”W x 6”H

cut-out 6.75” x 5”

cut-out 6.25” x 6”

box of 12

Ulnar Nerve Protector
PPD-30-111
8”L x 9”W x 4”H
box of 36

box of 12

Armboard Pads
20”L x 6”W x 2”H
18”L x 9”W x 2”H
PPD-30-108
PPD-30-107
24 box r
24box


Positioning Straps
PPD-52001 Arm 1.5”X32”
50/each
PPD-52023 Knee & Body 3”X60”
16/pair
PPD-175 Art Line Positioner Dale Bendable ArmBoard
box of 12
PPD-AB650 Adult 9 x 4” 10 bx
PPD-AB651 Child 5 x 3” 10 bx
PPD-AB652 Neo 4 x 1” 10 bx
1-800-325-3671 • www.sharn.com


Gel Positioning Products Latex Free
Donut Head Pad:
PPG-H2000 Adult
PPG-H2015 Bariatric
PPG-H2004 Pedi

PPG-H2005 Neo


8.0” diam x 3.0” c x 1.75” h
8.0” diam x 3.0” c x 3.0” h
5.5” diam” x 2.25” c x 1.25” h
3.25” diam” x 1.5” c x .75” h

Horseshoe Head Pad:
PPG-H2007 Adult
PPG-H2012 Bariatric
PPG-H2009 Pedi

PPG-H2008 Neo


8.0” diam x 3.0” c x 1.75” h
8.0” diam x 3.0” c x 3.0” h
5.5” diam” x 2.25” c x 1.25” h
3.25” diam” x 1.5” c x .75” h

Contoured Head Positioner
(use prone or supine)

PPG-H2010-11

11”L x 9”W x 6” H





Richards Style Head Positioner
(use lateral or supine)
PPG-H2021
8” L X 9” W X 3” H

Ophthalmic Head Rest Ulnar Brachial Protector
PPG-2020H

PPG-5011A
12” L X 10” W X 3.875” H
18” L X 13” W X .25” H

Oval UlnarElbow pad
PPG-5012

PPG-5025
15.75” L X 6” W X .5” H

3.25” OD X 1.5” X .75”


Re-Posable Positioning Products Latex Free


Item #DescriptionQty
PPD-53005
Pediatric 5.5 inch diameter ring
24
PPD-53007
7 inch diameter ring
24
PPD-53009
9 inch diameter ring
24
PPD-LC250
Light Cloud™ “doughy” foam”

1
PPD-LC300
Light Cloud™ “doughy” foam”

3
PPD-53030
Slotted Adult Head Positioner
18
PPD-53048
Convoluted Arm Board Pad 20”x8”x2”
18
PPD-53110
Convoluted Ulnar Nerve Protector
18
PPD-53210
Convoluted Foot and Heel Protector
12
PPD-53194
19 inch x 4 inch x 4 inch Bolster
12
© 2012 SHARN Inc, Professional Anesthesia Handbook


The P3 Postioning Pillow Latex Free
The P3 has proven effective in reducing pressure to the face during procedures requiring the prone
position. It provides increased safety against problems such as blindness. The P’s open design
allows easy access to endotracheal and other tubing used during surgery and in the ICU, as well
as a clear view of the patient’s face. The open end of the U-shape can be pointed in a left or right
direction, for convenient positioning of anesthesia equipment.

Order #

PP-P3A-1010
PP-P3P-1020
PP-P3I-1009

Description
Adult
Pediatric
Infant

Qty
Box of 10
Case of 20
Box of 9


Size
10” W x 12.5” L x 4.5”H
8” W x 9.25”L x 3.5”H
6.75”W x 8”L x 2.75”H

Inflatable Positioner Latex Free
• Infinitely adjustable for positioning and continual pressure relief
• Easy to inflate / deflate and can also be used with tourniquet pump
• Help to reduce ischemia or nerve damage due to compression
• Radiolucent
Order #
PPE-1505
PPE-1510
PPE-1525
PPE-1530
PPE-1605  
PPE-1610

Description
Shoulder Float
Shoulder Float
Pelvic Tilt
Pelvic Tilt
Delgado Post Cuff
Delgado Post Cuff

Qty
box of 5 
box of 10 
box of 5
box of 10
box of 5
box of 10

Peach Clip
Heavy duty clamp is designed to secure drapes to drape stands, IV poles,
etc. Can be used for a variety of clamping needs. Washable, does not rust.
Size: 1-7/8” wide x 2-3/4” long
Order #

PP-JPC-3NS
PP-JPC-3NSB

Description
Heavy duty clamp
Big Pack


Qty
8 pkg.
16 pkg.

1-800-325-3671 • www.sharn.com


Troop Elevated Positioner
An Airway
Management Aid
for high-risk
obese patients
Airway management of
the obese patient can be
particulary challenging.
The Troop Pillow makes it
easier to position the patient in
a way which facilitates easier
induction and intubation as well
as maintaining the airway intraoperatively, during emegencies
and even post-operatively in
PACU.

Reusable head rest 9”L x 9”W x 2-4”H
Extra reusable wedge 26”L x 20”W x 4”H
Reusable Troop EP with Headrest 30”L x 20” x 5-5“H

Key benefits include:
• Improves patient safety
• Lowers risk
• Improves O.R. time efficiency
(facilitates intubation)
• Latex Free

Order #
PPR-TRP7007
PPR-TRP5005
PPR-TRP6006
PPD-TSP3003
PPD-TRP4004
PPR-TRPARM
PPD-TSP1001
*
PPD-TSP1002

*

Description

Reusable Troop EP with wedge, headrest & 5 disp. covers
Reusable Troop EP with headrest & 5 disp. covers
Reusable extra wedge (use for > 50+ BMI)

Disposable barrier cover box of 30

Resuable vinyl head rest box of 4
Resuable, elevated arm board 26”x 6” x 5”

Disposable EP, no head rest box of 4

Disposable extra wedge 2 per box (use for >50 BMI)

*Billing code for reimbursement CTP-4 code 99070 “Aid to airway management for high risk obese patient”Items MHP-TSP1001 and MHP-TSP1002 Only

© 2012 SHARN Inc, Professional Anesthesia Handbook


Morbidly Obese Patient: from fully supine to
Head Elevated Laryngoscopy Postion…(H.E.L.P.)
The elevation Pillow quickly achieves H.E.L.P. This is a much improved “starting position” for airway management

…. A position of strength.
• Patients breathe more comfortably with less anxiety

• Improved pre-oxygenation with higher O2 tension levels

• Facilitates stable H.E.L.P. positioning resulting in shorter start up Anesthesia costs


• Helps facilitate spontaneous respirations pre- and post operatively or during
Regional Anesthesia
• Reusable vinyl or single use foam

• Compliments Glide Scope, AirTraq, intubating laryngeal mask, laryngoscope,
bougie technique etc…

6’ 375 lbs. head cradle only

(with Troop Elevation Pillow)

1-800-325-3671 • www.sharn.com


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